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# Colombia's health promotion and maintenance route (Res. 3280 de 2018) from the nursing side

- Law

Res. 3280 de 2018 sets the check-ups, screening, vaccination and education every person should get at each life moment, and many are done by nurses.

Updated Nov 12, 2026

## Key points

- Art. 1: adopts the guidelines of the health promotion and maintenance route and the maternal-perinatal route; the annexes are mandatory.
- Art. 3: route services may not become a barrier and are given without prior authorisation.
- Art. 7: in force six months after publication; repealed Res. 412 de 2000 and Res. 769 and 1973 de 2008.
- Res. 276 de 2019: 15 interventions (group education, family guidance and family education among them) phased in within three years from 1 January 2020.
- Nursing consultations: childhood at 7, 9 and 11 years; adolescence at 13, 15 and 17 years (medicine covers the other years).
- Res. 276 de 2019 left the youth consultation to general or family medicine.

## What it is

Resolución 3280 de 2018 of the Ministry of Health adopts the technical and operational guidelines of the health promotion and maintenance route (Ruta de Promoción y Mantenimiento de la Salud, RPMS) and of the maternal and perinatal route, and they are mandatory for territorial entities, EPS, providers and the special regimes. The RPMS is for the whole population living in Colombia and is organised by life-course moment: early childhood, childhood, adolescence, youth, adulthood and old age. For each moment it lists integral assessment consultations, early detection, specific protection and health education. Professional nurses carry out the integral assessment consultations in early childhood, childhood and adolescence, alternating with medicine, and take part in family and group education. Resolución 276 de 2019 modified article 4 and parts of the annexes.

## Key articles

- Art. 1: object: adopt the technical and operational guidelines of both routes, contained in annexes that are mandatory.
- Art. 2: applies to territorial entities, EPS, entities obliged to compensate, providers and the exception and special regimes.
- Art. 3: providers adapt care to urban, highly rural and dispersed areas and to population groups, without creating barriers; no prior authorisation is needed.
- Art. 4 (as modified by Res. 276 de 2019, art. 1): the interventions are provided from the start of the resolution; a listed group is phased in within three years from 1 January 2020.
- Art. 5: those responsible must guarantee enough suitable health workers with the profile set in the guidelines.
- Art. 6: they monitor the interventions and evaluate health results and the reduction of inequities; results are reported yearly to the Superintendencia Nacional de Salud.
- Art. 7: in force six months after publication; repeals Res. 412 de 2000, 769 de 2008 and 1973 de 2008, and modifies the technical annex of Res. 518 de 2015.

## What it covers

- Population interventions: policies on determinants, health information and social participation.
- Collective interventions in the home, school, community, workplace and institutional settings.
- Individual interventions by life moment: integral assessment, early detection, specific protection and health education.
- Interventions for the family as a subject of care: family assessment, basic family guidance and family education.
- Mandatory directives describe each procedure, its target population and the health workers who perform it.

## Integral assessment consultations of the route and the place of nursing (Res. 3280 de 2018 as modified by Res. 276 de 2019)

| Life moment | Ages in the resolution | Who does the integral assessment | Nursing frequency |
| --- | --- | --- | --- |
| Early childhood | From 7 days (8 days in the directives) to 5 years, 11 months, 29 days | General or family medicine and nursing, complementing each other; paediatrics for higher-risk children | Schedule (table 1) replaced by Res. 276 de 2019: check the current table |
| Childhood | 6 to 11 years | General medicine, paediatrics or family medicine, and nursing | Nursing at 7, 9 and 11 years; medicine at 6, 8 and 10 |
| Adolescence | 12 to 17 years | General or family medicine and nursing | Nursing at 13, 15 and 17 years; medicine at 12, 14 and 16 |
| Youth | 18 to 28 years | General or family medicine (Res. 276 de 2019 changed the title and staff of this consultation) | No nursing integral assessment consultation |
| Adulthood and old age | 29 to 59 years; 60 years and over | General or family medicine | Nursing takes part in screening, vaccination and education as the route sets |

## In nursing practice

- In early childhood and adolescence, the directives allow the professional nurse to carry out the listed procedures and to order the supplies, devices and procedures defined in that consultation.
- The integral assessment covers growth and development, nutrition, vision, hearing, oral, sexual and mental health, family dynamics and support networks, and checks the vaccination schedule.
- In the adolescent consultation, the first part is preferably held alone with the adolescent, to recognise autonomy, in a private and non-judgemental setting.
- Each consultation is a chance to detect risk and refer the person to a risk-group or event route.
- Health education (individual, family and group) is part of the route; group sessions follow the resolution's education procedure.
- The maternal and perinatal route of the same resolution covers preconception, prenatal, birth, postpartum and newborn care (see the prenatal page).

## Status and official text

- Texto oficial verificado el 2026-11-12 en minsalud.gov.co (PDF of Res. 3280 de 2018 and of Res. 276 de 2019).
- Modified by Res. 276 de 2019: rewrote art. 4 (phase-in), replaced table 1 (early childhood schedule), changed item 4 and 4.4 (youth consultation by general or family medicine) and other parts of the annexes.
- No other resolution modifying Res. 3280 de 2018 was found in this review (2026-11-12); check the Ministry's normative records before relying on it.
- Related norms: Res. 429 de 2016 (Política de Atención Integral en Salud) and Res. 3202 de 2016 (RIAS manual and route types).

## Test yourself

Think of the answer, then tap the question to see it.

## Which two routes does Resolución 3280 de 2018 adopt?

The health promotion and maintenance route and the maternal and perinatal route.

## At what ages does the professional nurse do the integral assessment consultation in childhood?

At 7, 9 and 11 years. General medicine, paediatrics or family medicine do it at 6, 8 and 10 years.

## Which norm modified Res. 3280 de 2018, and what did it change in article 4?

Res. 276 de 2019. It rewrote article 4 so that a list of interventions, such as group education and family guidance, is phased in within three years from 1 January 2020.

## Does a person need prior authorisation to receive the route's interventions?

No. Article 3 says adapting the services may not become a barrier and the services are given without prior authorisation.

## Which norms did Res. 3280 de 2018 repeal?

Res. 412 de 2000 (the old early-detection and specific-protection technical norms) and Res. 769 and 1973 de 2008.

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## Elsewhere in DurgiPedia

- [Comprehensive health care pathways (RIAS)](https://durgical.com/en/epidemiology/comprehensive-health-care-pathways/)
- [The PAI as a public health programme](https://durgical.com/en/epidemiology/the-pai-as-a-public-health-programme/)

## Connections

## Related 5

- [The life-course approach and its stages in Colombian health policy](https://durgical.com/en/nursing/the-life-course-approach-and-its-stages-in-colombian-health-policy/)
- [Prenatal care: the nursing visit and warning signs](https://durgical.com/en/nursing/prenatal-care-the-nursing-visit-and-warning-signs/)
- [Growth and development monitoring in children](https://durgical.com/en/nursing/growth-and-development-monitoring-in-children/)
- [Giving vaccines safely and Colombia's PAI schedule](https://durgical.com/en/nursing/giving-vaccines-safely-and-colombia-s-pai-schedule/)
- [Youth-friendly health services for adolescents and young people](https://durgical.com/en/nursing/youth-friendly-health-services-for-adolescents-and-young-people/)

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Educational content for students; it does not replace your institution's protocols, supervised clinical training or a prescriber's order. Dose-calculation examples use made-up numbers: they are educational, not a clinical order.

Sources: [Resolución 3280 de 2018, lineamientos técnicos y operativos de la Ruta de Promoción y Mantenimiento de la Salud y de la Ruta Materno Perinatal](https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-3280-de-2018.pdf) (Ministerio de Salud y Protección Social, Colombia, 2018); [Resolución 276 de 2019, por la cual se modifica la Resolución 3280 de 2018](https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-276-de-2019.pdf) (Ministerio de Salud y Protección Social, Colombia, 2019); [Manual metodológico para la elaboración e implementación de las RIAS](https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/Manual-metodologico-rias.pdf) (Ministerio de Salud y Protección Social, Colombia, 2016).

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License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/nursing/colombia-s-health-promotion-and-maintenance-route-from-the-nursing-side/